Exploring Esketamine's Therapeutic Role for Perinatal Depression via TASK-1 Tandem Pore Potassium Channels.

Abstract

This research focuses on the promising use of esketamine in perinatal depression, a widespread disorder impacting postpartum women's mental health. Despite esketamine's known rapid antidepressant effects, its precise mechanisms are not fully understood. This study integrates clinical and preclinical approaches to explore esketamine's efficacy in treating perinatal depression and its actions associated with TASK-1 potassium channels. A total of298 full-term pregnant women participated in a clinical trial, revealing that esketamine significantly lowers depression scores compared to controls. Alongside, mouse models were used to assess behavioral changes post-treatment, with findings highlighting reduced neuroinflammation and depressive-like symptoms, attributable to modulation via TASK-1 channels. Advanced gene expression analyses and cultured neuronal cell studies corroborated these findings, particularly through the modulation of synaptic plasticity proteins. Thus, esketamine offers a compelling therapeutic avenue for perinatal depression, with its effectiveness linked to specific neural pathways, encouraging further research and potential therapeutic developments.